Organization
FAMILY THERAPY PROVIDERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KILLMEYER DMFT, LMFT (OWNER)
(954) 609-8175
Entity
Organization
Contact information
Practice address
1830 N PINE ISLAND RD, PLANTATION, FL 33322-5202
(954) 609-8175
(954) 337-3722
Mailing address
1830 N PINE ISLAND RD, PLANTATION, FL 33322-5202
(954) 609-8175
(954) 337-3722
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MT2678
FL
Other
Enumeration date
08/12/2017
Last updated
07/21/2022
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